# BENNETT CHIROPRACTIC CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114310984
- **Authorized official:** CARY BENNETT D.C. (OWNER)
- **Authorized official phone:** (256) 737-9500

## Contact information

- **Practice address:** 909 GRAHAM ST SW, SUITE B, CULLMAN, AL 35055-5237
- **Practice address phone:** (256) 737-9500
- **Mailing address:** 909 GRAHAM ST SW, SUITE B, CULLMAN, AL 35055-5237
- **Mailing address phone:** (256) 737-9500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1225 | AL | Yes |

## Other

- **Enumeration date:** 03/18/2015
- **Last updated:** 05/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 511-60634 | BLUE CROSS BLUE SHIELD | AL |